| Regimental number | 19541 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Alphington, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs I Cula, 'Melrose', Fulham Road, Alphington, Victoria |
| Previous military service | 54th Infantry |
| Enlistment date | 16 July 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, October 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |